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1003103458
JOHNNY JOSIAH MEEHAN
BOISE, ID
NPI
1003103458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-42126)
Enumeration Date
2011-07-06
Last Update Date
2022-05-17
Business Address
Mr. JOHNNY JOSIAH MEEHAN LCSW
6855 W FAIRVIEW AVE
BOISE, ID 83704-8046
Phone number: 208-323-9600
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Mailing Address
Mr. JOHNNY JOSIAH MEEHAN LCSW
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431
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